Members of the HealthLeaders Revenue Cycle Exchange met in Carlsbad, California, to talk strategy and find solutions to three key trends: payer compliance, the No Surprises Act, and the workforce. There is a lot of confusion in the industry about what a commercial or managed care payer would want in order to approve a claim. Much of this confusion comes from the timing of requirements to ensure reimbursement. The bottom line should be the same for all payers: The documentation must show a plan of care based on the working diagnosis and then progress to the goal of the plan and when the patient can expect to reach the goal. In this exclusive insights report, read about what the leaders at the event had to say about remedying these headaches.
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